{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T08:08:04Z","timestamp":1759565284834},"reference-count":23,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2007,9,27]],"date-time":"2007-09-27T00:00:00Z","timestamp":1190851200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2008,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:label\/><jats:p><jats:italic>Objective:<\/jats:italic> To assess the effects of HIV infection on morbidity and the needs of infected women for services in the first year postpartum. <jats:italic>Methods:<\/jats:italic> A cross\u2010sectional study with 500 women attending a child\u2010health clinic in Mombasa, Kenya. <jats:italic>Results:<\/jats:italic> Postpartum duration was a median of 3.3\u00a0months (interquartile range, 1.9\u20136.1\u00a0months). The 54 HIV\u2010infected women had a lower income and less financial support than the uninfected women, and they were more likely to experience fever, dyspnea, and dysuria, and to have genital warts (odds ratio [OR], 9.6; 95% confidence interval [CI], 2.6\u201335.6; <jats:italic>P<\/jats:italic> &lt; 0.001), candidiasis (OR, 2.9; 95% CI, 1.2\u20136.8; <jats:italic>P<\/jats:italic> = 0.012), and bacterial vaginosis (OR, 1.8; 95% CI, 0.95\u20133.3; <jats:italic>P<\/jats:italic> = 0.066). Six (nearly 15%) of the HIV\u2010infected women had low\u2010 or high\u2010grade squamous intraepithelial lesions, and 21 (42%) had an unmet need for contraception. More than half of all women were anemic, and normocytic anemia was predominant among the HIV infected. <jats:italic>Conclusion:<\/jats:italic> Compared with uninfected women, morbidity was increased for HIV\u2010infected women during the year following delivery. This period could be used to offer these, and all\u2010women, family planning services, cervical cancer screening, and treatment for anemia and reproductive tract infections.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2007.06.053","type":"journal-article","created":{"date-parts":[[2007,9,28]],"date-time":"2007-09-28T17:16:46Z","timestamp":1190999806000},"page":"45-51","source":"Crossref","is-referenced-by-count":16,"title":["Morbidity in the first year postpartum among HIV\u2010infected women in Kenya"],"prefix":"10.1002","volume":"100","author":[{"given":"M.F.","family":"Chersich","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.M.","family":"Luchters","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Yard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.M.","family":"Othigo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"Kley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Temmerman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,9,27]]},"reference":[{"key":"e_1_2_6_2_2","volume-title":"What is the effectiveness of antenatal care?","author":"Di Mario S.","year":"2005"},{"key":"e_1_2_6_3_2","volume-title":"WHO antenatal care randomized trial: manual for the implementation of the new model","author":"World Health Organization","year":"2001"},{"key":"e_1_2_6_4_2","volume-title":"Making pregnancy safer: the critical role of the skilled attendant: a joint statement by WHO, ICM and FIGO","author":"World Health Organization, International Confederation of Midwives, International Federation of Gynecologists and Obstetricians","year":"2004"},{"key":"e_1_2_6_5_2","volume-title":"Sexual and reproductive health of women living with HIV\/AIDS: guidelines on care, treatment and support for women living with HIV\/AIDS and their children in resource\u2010constrained settings","author":"United Nations Population Fund, World Health Organization","year":"2006"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1080\/09540120500465061"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)67481-8"},{"issue":"6","key":"e_1_2_6_8_2","first-page":"933","article-title":"Higher rates of post\u2010partum complications in HIV\u2010infected than in uninfected women irrespective of mode of delivery","volume":"9","author":"Fiore S.","year":"2004","journal-title":"Aids"},{"key":"e_1_2_6_9_2","volume-title":"Malaria and HIV\/AIDS interactions and implications: conclusions of a technical consultation by WHO, 23\u201325 June, 2004","author":"World Health Organization","year":"2005"},{"issue":"7","key":"e_1_2_6_10_2","first-page":"462","article-title":"Contraceptive use, protected sexual intercourse and incidence of pregnancies among African HIV\u2010infected women","volume":"13","author":"Desgrees du Lou A.","year":"2002","journal-title":"Int J STD AIDS"},{"key":"e_1_2_6_11_2","volume-title":"Family planning and PMTCT: examining interrelationships, strengthening linkages","author":"Rutenberg N.","year":"2003"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/00126334-200012010-00008"},{"issue":"1","key":"e_1_2_6_13_2","first-page":"S41","article-title":"Measuring the impact of HIV on fertility in Africa","volume":"12","author":"Zaba B.","year":"1998","journal-title":"Aids"},{"key":"e_1_2_6_14_2","unstructured":"World Health Organization.Iron deficiency anaemia: assessment prevention and control. 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